- The Judge Group Inc. (Bridgeport, PA)
- …applicable federal and state reimbursement rules and regulations and optimizes Medicare and Medicaid reimbursement through development of strategic ... related desk review and audit activity (including wage index reviews or other Medicare / Medicaid reimbursement activity) for multiple facilities with complex … more
- Lundbeck (Waco, TX)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on … more
- Lundbeck (Fort Wayne, IN)
- …key internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid , Commercial) using Lundbeck resources. Local Market & ... needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates… more
- Lundbeck (Joliet, IL)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on … more
- Optum (San Juan, PR)
- …CMS Coverage, Federal and State Statues, Rules and Regulations Knowledge of Medicaid / Medicare Reimbursement methodologies Working knowledge of the healthcare ... and pursue recoveries Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance Use pertinent data and facts to… more
- Novo Nordisk Inc. (WA)
- …Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid , Reference Pricing, Pricing / Price Increases, Reimbursement , Privacy, ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription ... 401(k) savings plan; flexible spending accounts; employee assistance program; tuition reimbursement program; and voluntary benefits such as group legal, critical… more
- Guidehouse (San Antonio, TX)
- …three days from home. Essential Job Functions Account Review Appeals & Denials Medicare / Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 ... Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement , Personal Development & Learning Opportunities Skills Development &… more
- Avamere Health Services (Seattle, WA)
- …knowledge of skilled nursing insurance billing including but not limited to Medicare , Medicaid , private insurance, HMOs, and co-insurances. Stays current with ... and always maintained. 2 years medical billing experience required, SNF preferred, including Medicare , Medicaid , Must have, as a minimum, three (3) years'… more
- Saviance (Boston, MA)
- …setting. Deep understanding of healthcare finance, including knowledge of Medicare / Medicaid , healthcare reimbursement , and regulatory requirements. ... Risk Management: Ensure compliance with all healthcare financial regulations, including Medicare , Medicaid , and private insurance requirements. Develop and… more
- MedStar Health (Washington, DC)
- …agencies' requirements, necessary criteria for admission to various care settings, and Medicare 's/ Medicaid 's reimbursement methods for different levels of ... care. Manages a caseload of patients. Identifies essential resources needed to implement the plan of care. Manages own professional growth in the area of managed care, care management, other health care, financial trends, clinical practice and research.… more
- Centers Health Care (Brooklyn, NY)
- …& encourage word-of-mouth referrals Maintain knowledge of regulations governing Medicare / Medicaid /Managed Care reimbursement processes Communicate special ... needs of new admissions to staff to ensure a smooth transition Provide appointments for facility presentations and on-site tours Obtain and update authorizations REQUIREMENTS: Prior experience as post-acute and long-term care Admissions Coordinator/Intake… more
- Creative Solutions in Healthcare (Decatur, TX)
- …your licensed discipline (PT, OT, or SLP). Monitor and ensure compliance with Medicare , Medicaid , and other reimbursement regulations. Evaluate and counsel ... Demonstrates strong organizational, communication, and team-building skills. Is familiar with Medicare , Medicaid , and alternative payment model guidelines. Can… more
- Cobble Hill LifeCare (Brooklyn, NY)
- …to ensure a smooth transition Maintain knowledge of regulations governing Medicare / Medicaid /Managed Care reimbursement processes Conduct thorough assessments ... Hospital discharge planner experience a plus Knowledge of Home Care billing - Medicare , Medicaid and third-party payor Knowledge of ICD - 10 and CPT - 4… more
- Corcept Therapeutics (Redwood City, CA)
- …and appeals, is required Familiarity of private payer, Medicare , and Medicaid structure, systems, and reimbursement processes is required Experience and ... payer coverage process. This role is responsible for facilitating the medication reimbursement process by supporting all involved in the coverage process, including… more
- Indiana University Health (Indianapolis, IN)
- …team. This role offers an exciting opportunity to work on both 340B and Medicare / Medicaid reimbursement initiatives, helping to grow our programs and ... receive the highest level of financial coverage while supporting optimal reimbursement for the institution. Key Responsibilities Identify and communicate cost and… more
- CSI Pharmacy (Nash, TX)
- …care contracts throughout contract life cycle Achieve and maintain a full understanding of Medicaid and or Medicare pricing reimbursement and structure for ... and existing relationships with third party payers to ensure competitive reimbursement rates and contract language attainable through the revenue cycle operations… more
- Advocate Aurora Health (Charlotte, NC)
- …knowledge of various reimbursement criteria and documentation necessary for reimbursement , including Medicaid , Medicare , and Managed Care. Demonstrates ... leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations. Physical Requirements Work requires walking, standing,… more
- CAPPS (Austin, TX)
- …or full-time investigations; law enforcement; auditing; accounting; compliance monitoring in Medicaid , Medicare , health care insurance, or closely related ... Job Description GENERAL DESCRIPTION The Medicaid Fraud Control Unit (MFCU) of the Office...to arrange for personal transportation for business-related travel, with reimbursement Ability to work more than 40 hours as… more
- Long Beach Healthcare Center (Long Beach, CA)
- …a working knowledge of federal and state regulations, as related to position, and reimbursement ( Medicare , Medicaid and commercial) and provides support with ... applications and eligibility information requests. Provides support with resident theft and loss prevention program for the facility. Works closely with Ombudsperson to resolve resident rights questions or concerns. May perform documentation duties in… more
